Organization Active NPI

Lake Pointe Senior Living, Inc.

  • Assisted Living Facility
  • Oshkosh, WI
National Provider Identifier
1750815460
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LAKE POINTE SENIOR LIVING, INC.
Doing business as
Lakepoint Villa Assisted Living
Practice address
190 Lake Pointe Dr
Oshkosh, WI 54904-7858
Phone
(920) 232-8686
Fax
(920) 232-7371
NPI assigned
Apr 19, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Amber L Tueller
Title
Secretary
Phone
(208) 207-2726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X WI Primary

Addresses

Primary practice location

190 Lake Pointe Dr
Oshkosh, WI 54904-7858

Mailing address

190 Lake Pointe Dr
Oshkosh, WI 54904-7858
Phone (920) 232-8686

Other names 1

  • Lakepoint Villa Assisted Living Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D1026292Lakepoint Villa Assisted Living190 Lake Pointe Dr, Oshkosh, WI 54904Certificate of waiverMay 31, 2028

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749600000000",
    "number": "1750815460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 LAKE POINTE DR",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047858",
            "telephone_number": "920-232-8686",
            "fax_number": "920-232-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 LAKE POINTE DR",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549047858",
            "telephone_number": "920-232-8686",
            "fax_number": "920-232-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE POINTE SENIOR LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A",
        "authorized_official_last_name": "TUELLER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "208-207-2726"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakepoint Villa Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.